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General NPI Number Information
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NPI Number | 1528610243
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Entity Type | Individual
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Provider Name | KATHERINE GUZMAN CANERO
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Gender | Female
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Dates
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Enumeration Date | 07/12/2019
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 1100 W TOWN AND COUNTRY RD STE 1250
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City | ORANGE
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State | CA
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Zip | 92868-4633
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Country | US
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Telephone | 657-339-2799
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Fax |
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Provider Business Mailing Address
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Address Line | 14632 YORBA ST STE B
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City | TUSTIN
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State | CA
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Zip | 92780-2554
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Country | US
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Telephone | 714-714-0780
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State | CA
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